http://www.thenation.com/doc/20071105/pollitt

subject to debate

With Facts on Our Side

 By Katha Pollitt
The Nation: November 5, 2007 issue

For years feminists and prochoicers have pointed out that women have
abortions whether or not the procedure is legal.

That was true here before Roe v. Wade, and it is true today in countries
where abortion is restricted or banned. The difference is that when abortion
is legal it is a remarkably safe procedure; when it is illegal, women are
injured, women die, children are left motherless. (True, these are
already-existing, sinful children, not embryos or fetuses, but still.) This
simple public health argument has gotten lost in a thicket of theology,
sexual morality, "family values," politics, spin and outright
disinformation. The coat hanger has become a political cliché, a relic of
the '60s, like the peace sign. Oh, that old thing.

Now comes an article in The Lancet that shows in cold hard data how right
we've been all along. "Induced Abortion: Estimated Rates and Trends
Worldwide," a study conducted by the World Health Organization and the
Guttmacher Institute, is the first global analysis of abortion incidence
since 1995. It finds that rates of abortion (the number of abortions per
1,000 women) are relatively unaffected by whether it is legal. Thus, in
South America, where abortion is largely illegal, the rate is 33; in
northern America, where it is legal, the rate is 21. "The legal status of
abortion doesn't predict whether abortions occur," study co-author Gilda
Sedgh told me by phone. "It predicts whether they are safe. South Africa
liberalized its abortion laws in l997, and maternal deaths from unsafe
abortion have plummeted by 90 percent." Around the world 48 percent of
abortions are unsafe--that's more than 20 million. Some 67,000 women die
from unsafe abortions--13 percent of maternal deaths, almost all of them in
the developing world, where abortion is mostly restricted or banned. Many
times that number are injured or maimed.

The good news is that the global trend is toward legalization: as Susan
Cohen reports in the upcoming Guttmacher Policy Review, since the Beijing
conference on women seventeen countries have liberalized their abortion
laws, while three have tightened restrictions (including, most recently,
Nicaragua, where abortion is now illegal even to save the woman's
life--thank you, Daniel Ortega). The bad news is that, due to population
growth, the percentage of abortions that are unsafe has increased since
1995.

The big takeaway from the Lancet article is this: there is basically only
one thing that lowers the rate of abortion for more than the minute and a
half it takes women to figure out how to evade a new legal restriction:
contraception. The countries with the lowest abortion rates, like the
Netherlands, have few abortion restrictions and lots of birth control.

Consider Eastern Europe. Under communism, abortion was virtually the only
family planning method. As contraception has become more available, the
abortion rate has plummeted--from 90 in 1995 to 44 in 2003. Indeed, Eastern
Europe accounts for almost the entire worldwide decline in abortion in the
period covered by the study. Meanwhile, for all our Sturm und Drang, with
women in many states having to jump through more hoops than a circus tiger,
the decline in the US abortion rate has been small.

I was curious to know how antichoicers would respond to what certainly seems
like a devastating refutation of their position. "Anybody can look at data
and pick and choose whatever they want," Jim Sedlak, vice president of the
American Life League, told me. "The real fact is that abortion is ending
life in the womb and should never be legal." I asked him if he accepted the
finding that abortion was more dangerous where it was illegal. No, he said.
"When something is illegal, people are more careful." So legal abortion is
more unsafe? According to Sedlak, it is indeed.

As for contraception lowering the rate of abortion, that's an illusion:
contraception is abortion. "Most methods of birth control kill babies in the
womb by preventing implantation," said Sedlak, who'd like to see the pill,
the IUD and most other methods outlawed. The American Life League,
although not an official Catholic organization, explicitly follows Catholic
teaching--unlike most Catholics, as Sedlak admitted. But so far as I know
(and Sedlak agreed with me here) there is no antichoice organization that
endorses contraception. Not one. Even Democrats for Life of America has
refused to support Congressional legislation expanding funding for
contraception. "Between Title X and Medicaid, the government has made a
tremendous investment in contraception," DLA executive director Kristen Day
told me. Actually, the government has done the opposite. Title X, which
funds contraception for low-income women, has 61 percent less money in real
terms than it had in 1980, to serve a much larger population. Had funding
merely kept pace with inflation, it would be more than $725 million, instead
of $283 million. As for Medicaid, skewed eligibility rules actually deny
contraceptive benefits to many poor women who qualify for pregnancy care.

In the past few months, due to a technicality in the 2005 Deficit Reduction
Act, the price of contraception in campus clinics has skyrocketed, from
around $15 for a pack of pills to more than $50. Some college health centers
have simply stopped offering the pill. When you consider that 3 million
college women take the pill--38 percent of female students--you can see the
disaster in the making. That won't bother the new head of the HHS Office of
Family Planning, Susan Orr, a longtime opponent of birth control formerly
with the Family Research Council. "We're quite pleased, because fertility is
not a disease," Orr told the Washington Post in 2001, praising a Bush
proposal to stop mandating contraceptive coverage in federal employees'
health plans.

Between facts and theology, antichoicers choose the latter every time.


Random House has just published my new book, Learning to Drive and Other
Life Stories. It's a collection of personal essays, only two of which have
been previously published (in The New Yorker), about love, sex, betrayal,
motherhood, divorce, proofreading pornography and the decline and fall of
practically everything, including myself.

about Katha Pollitt

Pollitt's writing has appeared in many publications, including The New
Yorker, Harper's Magazine, Ms. and the New York Times. her most recent
collection of Nation columns is "Virginity or Death!" (2006). Her volume of
personal essays, Learning to Drive and Other Life Stories, has just come out
from Random House. For more, visit her web site at www.kathapollitt.com.

***

----- Original Message ----- 
From: "Bernie Pearl" <[EMAIL PROTECTED]>

Hi: As we start approaching the sometimes dreaded joyous holiday season, I
find myself very pleased with my year so far: a well-received CD release,
my theatrical music debut in "Berlin Blues", an enjoyable summer run on
the beach at La Palapa, beginning a 4th year at M'Dears, a 5th year at Iva
Lee's, backing Honeyboy Edwards at Cozy's. Lots to be thankful for. I've
got great hopes for a very active and creative period ahead, and I'm
starting to think about a new recording project, in-studio. And, best of
all, I love playing the blues more than ever. Best wishes to you, my
friends and music fans.

If you missed the great CD review I recently sent, go to
http://www.acousticmusic.com/fame/famehome.htm

{This review is insightful, powerful, and well-deserved - Ed )

In November:
At Iva Lee's solo on Fridays, November 2, 16, & 30, and duo with Dwayne
Smith Saturday, November 10. 6:30-10:00, 555 S. El Camino Real, San
Clemente. (949) 361-2855.

M'Dears Monday blues jam November 5, 12, 19, & 26, 8-11 pm. 7717 S.
Western Ave., L.A. (323) 759-2020.

Ash Grove 50th Anniversary Concerts
In the summer of 1958 my brother Ed opened a coffeehouse/gallery/folk
concert room and called it The Ash Grove, after a Robert Burns poem. In
its 15 years of existence it introduced some of the greatest American
musical artists, all of whom were regarded as being on the fringe of
popular culture, to a couple of generations of Americans, and the world
was never the same again. Lightnin' Hopkins, Doc Watson, Bill Monroe, Skip
James, Muddy Waters, Howlin' Wolf, Alberts Collins and King, Flatt and
Scruggs, all came through the club regularly on their way to Musical
Legendhood. Many of us were there to soak it up, week after week. Ry
Cooder and Taj Mahal, Canned Heat, The Byrds, and tons more graduated from
the Ash Grove "university". On the weekend of April 18-20 next year at
UCLA, there will be concerts and workshops featuring many of those who
were there. The two major concerts in Royce Hall will be on Friday, April
18, "Folk & Country", with Ry Cooder, Mike Seeger, Roland White, Ramblin'
Jack Elliot, and many others, and Saturday, April 19 "Blues and the
Spirit", with Taj Mahal, the Chambers Brothers, and more to soon be
officially announced. I have been asked to head the backup band on the
Blues show, and will do so with Mike Barry, bass, Albert Trepagnier,
drums, and Dwayne Smith, piano. The show will be emceed by my old friend
and bandmate Dr. Demento. The complete roster of artists will be announced
shortly, as will the schedule of the workshops and other related events,
but rest assured it will be a monumental weekend. Tickets for the two
major concerts are on sale now and are, as they say, going fast. UCLA
Concerts has a very large subscriber base, and they are buying.
Heres the ticket link: http://www.uclalive.org/event.asp?Event_ID=490

Bernie








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